IPACHTE# 10-6-05299 Harnett County Department of Public Health 29908
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: *4.� i 1 b vrn G-Locu Sa W 3a_
ISSUED TO: �{Ce �h (A ,Ilct IC e;]CSt� ! !Y . SUBDIVISION LOT V 3
NEW f3� REPAIR ❑ EXPANSION ❑
Type of Structure: a CZ GO 4 K rs6 s 5F�>
Proposed Wastewater System Type: 5 0 C/zd s(sLLGl1 5 S.
Projected Daily Flow: :)&C> GPD
Number of bedrooms: 3 Number of Occupants: max
B ❑Y �—
Site Improvements required prior to Construction Authorization Issuance:
augment es o
Pump Required: ❑Yes ❑ No f fa3 TI y b�e'' ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community PL?" ublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
nf� ars
❑ No expiration
Authorized State Agent: �`i.a ���i �> Date: oa31o6/G7C*rR SEE ATTACHED SITE SKETCH
The issuance of his permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rates .1958, .1952, .1954, .1955..1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: k1:
SUBDIVISION LOT # 3
Facility Type: 3&Z GC'\X&Qe w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** "% a Lon S � (Initial) Wastewater now: 3C,0 GPD
(See note below, if applicable ❑)
�5r% vc—E- 0 Sus - (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I CX x'> gallons Exact length of each trench q-6 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of tet! inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. /a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
N� inches below pipe
Depth: inches above pipe
t` J inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable / understand the rynem type rpeciled it diherent from the type rroeiniled on the application. / accept the Jpeci&ationr o/ thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Conummlon Authorization shall not be transferred when there is a change in ownership of the site. This
consmimon Autnomabon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: o3���aU�C3
Ac.,:4pr-zc'c� S C' �xz ct. a >J Construction Authorization Expiration Date: au�3`3
HTE# 5 -4 3 Permit # a' 9 %t>E
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: L�0', 6xn czr, LScu 114 3Q)
ISSUED TO: Qh ►A/ JL ►d. =0r- SUBDIVISION LOT #
Authorized State Agent: i ft Date: C�3106119d63
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
1/ \�tX-lc (31
Owner: �zy; I +.i(pplicant kLl:D e E G306119
Address: y w � � b.,fn fL�1 Date Evaluated:
Proposed Facility: �L 5(- Design Flow (.1949): 6 G( p
Location of Site: Property Recorded: tfi
Water Supply: Public❑ Individual LJ Well
Evaluation Method: Auger B ng El pit F-1cut
Type of Wastewate : Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: b'7e6kG
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
4
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
►)a
L <ay,
as
G< L5
VrI4 *? /
Ps
a9 y&
�✓ s«
r 5 P y
t{
G.
L "70
LeVP4
u�t
Pc,71/0
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Qfp t,/i57un n11� Sui�-u.�,
Available Space 1.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR L